Med Spas NAICS 812199

        Med Spas

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Industry Summary

The 8,800 medical spas offer cosmetic medical procedures and traditional spa services under the supervision of licensed healthcare professionals. Operators provide a variety of aesthetic, minimally invasive, and non-invasive procedures that enhance physical appearance. Popular treatments include dermal fillers, neuromodulators/Botox, laser treatments, microdermabrasion, and chemical peels. Medical spas employ trained staff, such as registered nurses (RN), nurse practitioners (NP), physician assistants (PA), and aestheticians, to administer procedures.

Medical Complications

Medical procedures naturally come with some risk of complications, and those performed by nonphysician personnel in medical spas have elevated risks.

Government Regulation

Because medical spas are technically medical practices, operators are subject to regulatory oversight by state medical boards, which determine what constitutes a medical procedure, who can perform the procedure, the staffing ratio of physicians to non-physicians, and what qualifies as on-site/off-site supervision.


Recent Developments

May 19, 2026 - Medspa Industry Draws Continued Investment
  • The US medspa industry continued attracting strong investor interest in 2025 as steady consumer demand for injectables, laser treatments, skin rejuvenation, and non-surgical body contouring fueled ongoing consolidation activity, according to a recent American Med Spa Association report. Private equity-backed platforms remained highly active, particularly in large states such as Texas, Florida, and California, while more than 90% of medspas remained independently owned, leaving significant room for additional acquisitions. The report highlights that recurring revenue streams from memberships, subscription skincare, and repeat treatments are increasing the sector’s appeal to investors seeking predictable margins and loyal customer bases. At the same time, regulatory scrutiny surrounding provider supervision, compliance, and corporate ownership structures is becoming a larger consideration in transactions. For medspa operators, the environment presents opportunities for growth and higher valuations, particularly for multi-location businesses with strong operational systems, recurring revenue, and scalable infrastructure.
  • The US medspa industry is facing a more cautious consumer spending environment as confidence measures remain weak despite slight improvement in broader economic expectations. The Conference Board’s Consumer Confidence Index rose modestly to 92.8 in April 2026 from 92.2 in March, though consumers continued expressing concerns about inflation, fuel prices, and future business conditions. Meanwhile, the University of Michigan’s Consumer Sentiment Index fell to 48.2 in May 2026, near historic lows, reflecting persistent anxiety about household finances and the economy. For medspas, softer sentiment could pressure demand for discretionary aesthetic treatments as consumers become more selective with spending. Operators may face slower growth in elective procedures while relying more heavily on loyalty programs, membership models, financing options, and higher-income clientele to maintain revenue stability.
  • Emerging technology and regenerative treatments are reshaping the US med spa industry, according to an American Spa analysis. One of the most significant trends for 2026 is the rise of regenerative aesthetics, which use biologic therapies such as biostimulators, exosomes, platelet-rich fibrin (PRF), growth factors, and stem-cell-derived products to stimulate collagen and elastin production and improve skin quality. At the same time, AI-driven facial mapping and 3D imaging are enabling more precise injectable treatments through microdosing and customized dosing strategies. The report also notes med spas are increasingly integrating wellness services such as hormone optimization, nutrition guidance, and stress management with aesthetic treatments. These trends suggest med spas may expand advanced treatments and technology-driven services as demand grows for personalized, natural-looking results.
  • New regulation in Indiana signals increasing oversight for the US med spa industry, according to the Indiana Capital Chronicle. Lawmakers approved Senate Bill 282 by a 43-6 vote in the Senate and 93-4 in the House, establishing new requirements for medical spas. Beginning January 1, 2027, med spas must register with the state Medical Licensing Board and designate a licensed “responsible practitioner” to oversee care and compliance. The law also mandates reporting of serious adverse events and adherence to new advertising rules, while requiring semiannual state reports on drug compounding risks and benefits. The legislation, developed after weeks of negotiations across the healthcare industry, aims to strengthen oversight of compounded drugs such as GLP-1 treatments. For med spa operators, the new rules may increase compliance costs but also standardize practices and enhance patient safety expectations.

Industry Revenue

Med Spas


Industry Structure

Industry size & Structure

The average medical spa operates out of a single location and generates almost $2 million annually, according to the American Med Spa Association. Single-location medical spas employ an average of eight workers and generate just over $121,000 annually. Multi-location operators employ an average of 16 workers at the primary facility.

    • The medical spa industry consists of over 8,800 operators that employ 70,000 workers and generate about $15 billion, according to the American Med Spa Association.
    • The medical spa industry is fragmented; over 80% of firms operate out of a single location. Multi-location operators average six locations.
    • Two-thirds of medical spas have a single owner. Over 60% of medical spas have an owner who is not a physician.
    • Large firms include Ideal Image and Laser Away.

                          Industry Forecast

                          Industry Forecast
                          Med Spas Industry Growth
                          Source: Vertical IQ and Inforum

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